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Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Diagnosis for Pulmonary ... Renal Syndromes ... #Renal #Syndrome ... diagnosis #nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... deposits - Post-infectious ... Hematuria: • Infection ... #Diagnosis #causes ... #urology #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Diagnosis Framework ... Abdominal Compartment Syndrome ... AIN: Medication, Infection ... #Diagnosis #nephrology ... #causes #algorithm
Hemoptysis - Differential Diagnosis Framework
Airways: 
 • Bronchitis
 • Bronchiectasis
 • Malignancy: Primary bronchogenic CA, Endobronchial
Diagnosis Framework ... Parenchyma: • Infection ... westermani, PNA, Lung ... #Diagnosis #pulmonary ... #causes
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... carcinoma of the lung ... hemorrhage) - Pulmonary ... #Diagnosis #Table ... #Causes #Sodium
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... Diagnosis Framework ... respiratory drive due to neurologic ... hepatopulmonary syndrome ... #Diagnosis #pulmonary
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Pneumonectomy • Trapped lung ... Urinothorax Exudate - Infectious
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Diagnosis Algorithm ... • Diffuse Lung ... Respiratory Distress Syndrome ... Infection